• 15 Mahogany Street, Dangriga, Belize, Tel: 501-522-2243/1-800-798-1558

    Snorkel Participation Form
    (This form must be signed by every snorkeler prior to first snorkel trip.)

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  • Format: (000) 000-0000.
  • Affirmation, Waiver and Release: I am aware of the inherent hazards of snorkeling and understand that I should: Be in conditions of good health and physical fitness for snorkeling Avoid being under the influence of alcohol or drugs when snorkeling Engage in snorkel activities consistent with my level of experience Listen carefully to the snorkel briefing and directions, and respect the advice of the snorkel guide supervising my snorkeling activities Adhere to the buddy system through every snorkel Observe local laws which specifies that no marine life may be removed from the reefs of Belize

    Freely and voluntarily, forever, to release, discharge, waive and relinquish, in favour of the Blue Marlin Beach Resort, any and all claims, demands or cause of action, whether foreseen or unforeseen arising from or in connection with snorkeling. Including, without limitation, those for or relating to accident, personal injury, illness, theft, property damage and/or wrongful death occurring to me, arising out of, relating to, or as a result of my engaging in the activities, whenever or however such injuries, damages or death may occur and for whatever period of time the dive may continue, whether caused by negligence of the Blue Marlin Beach Resort or otherwise. That under no circumstances will I, or my estate, sue Blue Marlin Beach Resort, and I agree that, under no circumstances will I or my heirs, executors, administrators and assigns prosecute or present any claim for personal injury, illness, theft, property damage or wrongful death against Blue Marlin Beach Resort, as a result of Blue Marlin Beach Resort's negligence or otherwise.

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  • "Medical History"

  • The following information is intended for use in case of an emergency in the event you should be unable to supply it. PLEASE REMEMBER THAT YOU ALONE ARE RESPONSIBLE FOR DETERMINING YOUR

    MEDICAL AND PHYSICAL FITNESS TO SNORKEL OR TO TAKE PART IN ANY OTHER ACTIVITIES DURING YOUR TRIP. WE TAKE NO RESPONSIBILITY WITH RESPECT TO YOUR DETERMINATION.

    If you have any doubts concerning your medical or physical fitness to snorkel or take part in any activities please consult your personal physician prior to travel.

  • Please write yes/no to any of the following items which apply to your past medical history or present medical conditions

  • I AM SIGNING MY NAME IMMEDIATELY ABOVE THE WORDS "THIS IS AN AFFIRMATION, RELEASE AND WAIVER" SET FORTH, TO SHOW THAT I MEAN EVERYTHING THAT IS SAID, AND ALL THAT I HAVE SAID, IN THIS DOCUMENT AND I SIGN IT BEING CONSCIOUS OF IT'S IMPORTANCE.

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  • THIS IS AN AFFIRMATION, RELEASE AND WAIVER

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